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General NPI Number Information
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NPI Number | 1891851622
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Entity Type | Individual
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Provider Name | HEE H KIM MD
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Gender | Male
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 7531 S STONY ISLAND AVE SUITE 153
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City | CHICAGO
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State | IL
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Zip | 60649-3954
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Country | US
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Telephone | 773-947-7534
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Fax | 773-947-7761
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Provider Business Mailing Address
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Address Line | 34 RAMSGATE DRIVE
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City | PALOS PARK
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State | IL
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Zip | 60464-1420
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Country | US
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Telephone | 708-361-0808
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036054891
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License Number State | IL
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